Yu tink bak se yu gɛt alɛji fɔ it? Den mek wi fain out abaut dis (Food Challenge Test)!

Bɔku pipul dɛn kin gɛt difrɛn sayn dɛn lɛk we dɛn bɛlɛ kin at, dɛn skin kin rɔsh, ɛn i nɔ kin izi fɔ blo we dɛn de it sɔm it dɛn, nɔto so? Sɔntɛnde, i nɔ kin izi fɔ no if na rili alɛji ɔ ɔda tin. Sɔntɛnde lɛk dis, wan spɛshal tɛst kin de we kin ɛp yu fɔ no gud gud wan ɛn fɔ no if yu rili gɛt alɛji fɔ wan patikyula it ɔ yu nɔ gɛt alɛji. Tide, wi go tɔk bɔt di tin we dɛn kɔl ``Food Challenge Test'', ɔ di fud chalenj tɛst.

Wetin na dis ``Fud Chalenj Tɛst''?

Fɔ tɔk am simpul wan, dis na di we we pɔsin kin abop pan fɔ no if pɔsin nɔ lɛk wan patikyula it . Imajin se yu de fil sɔntin we strenj we yu de it pinat. Dɔn dis tɛst kin no if yu rili gɛt alɛji to pinat, ɔ if na jɔs tin we yu de imajin. Dɔn bak, sɔm pipul dɛn kin gro pas di alɛji we dɛn bin gɛt we dɛn bin smɔl we dɛn big. Dis tɛst kin no bak if di alɛji dɔn go ɔ if yu fɔ kɔntinyu fɔ avɔyd da it de .

Dis min se yu fɔ introduks di it we yu tink se yu gɛt alɛji to smɔl smɔl, ɛn yu dɔktɔ ɔ pɔsin we de mɛn yu alɛji go de kia fɔ yu.

Di tin we impɔtant pas ɔl na fɔ nɔ ɛva tray fɔ du dis tɛst yusɛf na os, bikɔs sɔntɛnde, bad bad alɛji kin apin.

Na dis na aw dis tɛst kin wok:

• Fɔs, di dɔktɔ go gi yu wan rili smɔl doz pan di it we yu tink se yu gɛt alɛji to. Sɔntɛnde dɛn go gi yu dis insay di fɔm fɔ kapsul.
• Dɔn di dɔktɔ go wach yu gud gud wan fɔ si if yu gɛt ɛni sayn fɔ alɛji.
• If nɔ riakshɔn nɔ de afta lɛk 15 minit, gi ɔda smɔl doz fɔ di it we dɛn tink se na di it.
• Dis we ya, dɛn kin ripit dɛn stɛp ya te ɔl tu alɛji riakshɔn apin ɔ dɛn kin gi di wan ol doz we dɛn dɔn gi am (we dɛn kin sheb to 4 ɔ 6 doz dɛn).
• If ɛni alɛji simptom de, dɛn go stɔp di tɛst wantɛm wantɛm ɛn di dɔktɔ go kɔnfirm se yu gɛt alɛji to da it de.
• If no riakshɔn nɔ de ivin afta yu gi di ful doz, dat min se yu nɔ gɛt alɛji to da it de.
• Bɔku tɛm, na wan it nɔmɔ dɛn kin tɛst dis we wan tɛm .

Dɛn kin tek dis as di "gold standad" fɔ no if pɔsin gɛt alɛji fɔ it.

Wetin mek dɛn kin du dis tɛst? Ustɛm i nid fɔ du am?

Bɔku tɛm, di fɔs tin we yu fɔ du fɔ no if yu gɛt alɛji fɔ it na fɔ du tɛst fɔ prɛk yu skin ɔ fɔ tɛst yu blɔd we yu gɛt alɛji. Bɔt sɔntɛnde, dɛn tɛst ya nɔ kin rili bi.. Na da tɛm de dis `(Food Challenge Test)` kin kam in. Bɔt mɛmba se ɔda tɛst dɛn (skin ɛn blɔd tɛst) dɛnsɛf kin abop pan ɛn dɛn kin rili yusful fɔ dɔktɔ dɛn.

Bɔku pipul dɛn kin du dis tɛst fɔ si if dɛn gɛt ``IgE-mediated'' alɛji fɔ it. ``IgE-mediated'' na alerjik riakshכn we di ``IgE'' antibodi dεm na wi bכdi de kכz. Insay dɛn kayn alɛji ya, wan riakshɔn kin apin wantɛm wantɛm afta dɛn dɔn it di it.

Aw ɛksaktɔli yu de du dis `(Food Challenge Test)`?

Dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ du dis tɛst. Ɔl di we dɛn we dɛn kin du am kin gɛt fɔ du wit fɔ inkrisayz di dos fɔ di it we dɛn tink se smɔl smɔl ɔnda dɔktɔ in sɔpɔtishɔn.

Wetin kin apin we dɛn de du di tɛst?

Sɔntɛnde, dɛn kin gi di pɔsin we dɛn tink se it lɛk aw i de. Fɔ ɛgzampul, if yu de tɛst fɔ no if yu gɛt alɛji fɔ pinat, yu kin gi yu sɔm pinat. Ɔda tɛm dɛn, dɛn kin miks di it wit ɔda tin, lɛk pinat bɔta we dɛn spre pan kuki. Sɔntɛnde, fɔ mek i nɔ izi fɔ no di it, dɛn kin put am insay kapsul ɛn swɛla am lɛk pil.

Dɛn kin yuz dɛn we ya fɔ mek it fɔ ridyus di chans fɔ mek di pɔsin no di it bay we i de si ɔ smɛl , we kin afɛkt di tin we go apin.

Sɔntɛnde, yu dɔktɔ kin aks yu fɔ kam wit yu yon it fɔ di tɛst. Dɛn kin aks yu bak fɔ mek wan spɛshal risɛp we gɛt di it we dɛn tink se de it. Afta yu it di it, ɔ afta yu dɔn swɛla di kapsul, dɛn go de wach yu gud gud wan fɔ ɛni riakshɔn.

Udat nɔ go ebul fɔ tek pat pan dis tɛst?

Pipul wae bin dɔn gɛt siriɔs alɛji trade nɔr kin alaw fɔ tek dis tɛst. Bɔt dɛn kin stil tek dis tɛst fɔ si if di pɔsin nɔ gɛt alɛji igen. Mɛmba se bɔku pipul dɛn kin jɔs tɛst wan it wan tɛm.

Us kayn `(Oral Food Challenge)` de?

Tri kayn ``Oral Food Challenge'' tɛst de. Dɛn kin du ɔl dɛn tɛst ya na ɔspitul ɔ mɛdikal sɛnta.

1. `(Dɔbl-blaynd, plesibo-kɔntrol)` trayal

Insay dis we, yu ɔ yu dɔktɔ nɔ no us kapsul ɔ it gɛt di alɛrjen we dɛn tink se, ɛn uswan gɛt di ``Placebo`` (wan tin we nɔ bad we nɔ gɛt di alɛrjen). Dɛn kin gi dis alɛrjen ɛn di ``Placebo`` ɛvri sɔm awa, ɔ ɛvri sɔm dez.

Di bɛnifit fɔ dis na dat di tɛst rizɔlt nɔ kin afɛkt di pɔsin in fred ɔ di tin dɛn we di dɔktɔ bin dɔn tink bifo tɛm. Fɔ tɔk am simpul wan, dɛn kin pul ɔl di tin dɛn we de na do . Pan ɔl we dis na di bɛst we fɔ du ``Fud Chalenj Tɛst'', dɛn nɔ kin yuz am bɔku tɛm na klinik ɛn dɛn kin yuz am mɔ fɔ du risach.

2. `(Singl-blaynd)` tɛst

Insay dis tɛst, na yu dɔktɔ nɔmɔ no.Us it ɔ kapsul gɛt di alɛrjen, ɛn uswan gɛt di ``Placebo''. Dɛn kin gi dis bak ɛvri sɔm awa ɔ sɔm dez.

3. `(Open-fud)` tɛst

Insay dis, yu ɛn yu dɔktɔ ɔl tu no us alɛrjen dɛn de gi yu. Bɔku tɛm, di dɔktɔ kin sheb di it to difrɛn pat dɛn ɛn gi yu am smɔl smɔl fɔ lɔng tɛm fɔ lɛk wan awa so. Insay dis tɛm, dɛn kin wach yu fɔ ɛni alɛji. Dis na di we aw dɛn kin du am pas ɔl.

Yu nid fɔ rɛdi fɔ dis tɛst bifo tɛm?

Yɛs, na fɔ tru. Yu dɔktɔ go gi yu wan sɛt fɔ instrɔkshɔn bifo di tɛst fɔ mek shɔ se yu gɛt di rizɔlt we yu go abop pan. Dɛn instrɔkshɔn ya kin gɛt tin dɛn lɛk:

• Nɔ it tin dɛn we yu no se yu gɛt alɛji fɔ lɛk tu wiks bifo di tɛst.
• Stɔp fɔ tek ɛni prɛskrishɔn ɔ ɔva-di-kɔnta antihistamin (mɛrɛsin fɔ alɛji) bifo di tɛst .
• Nɔ it ɔ drink ɛnitin fɔ sɔm awa bifo di tɛst.

I rili impɔtant: Tɔk to yu dɔktɔ bɔt ɛni alɛji we yu gɛt ɛn ɛni mɛrɛsin we yu de tek. Nɔ put ɔf fɔ tek inhala fɔ asma ɔ fɔ tek epinephrine pan imejensi jɔs bikɔs yu gɛt tɛst. Yu dɔktɔ go tɛl yu us mɛrɛsin fɔ tek, ustɛm, ɛn aw fɔ tek .

Dɔn bak, if yu gɛt sɔm sayn dɛn lɛk kol ɔ fiva di mɔnin we dɛn de du di tɛst, yu dɔktɔ kin aks yu fɔ put di tɛst bifo tɛm.

Wetin yu go ɛkspɛkt we dɛn de du di tɛst?

Na nɔmal tin fɔ fil smɔl fɔ fred ɔr de fred fɔ dis tɛst. Bɔt nɔ wɔri, na tɛst we sef . Yu dɔktɔ go wach yu impɔtant sayn dɛn ɔl di tɛm we yu de du di tɛst.

Yu dɔktɔ go gi yu smɔl pan di it we yu tink se yu gɛt alɛji fɔ ɛn wach fɔ aw i go biev. If no sayn nɔ de, dɛn go gi am sɛkɔn doz. Dɛn go de wach yu gud gud wan afta ɛni doz.

If yu sho ɛni alɛji, di tɛst dɔn dɔn. Di dɔktɔ go gi yu mɛrɛsin fɔ ɛp yu wit yu alɛji simptom dɛm.

Aw lɔng di tɛst kin tek?

I nɔ mata aw yu ansa, di tɛst kin tek lɛk tri to 4 awa so fɔ dɔn . Bɔrku dɔktɔ dɛn kin gi yu smɔl smɔl pan di alɛrjen ɛvri 15 minit. If yu gɛt alɛji ali na di tɛst, dɛn go stɔp di tɛst. Bɔt dɛn go de wach yu fɔ lɛk tu awa so afta dat. Dis tɛm kin lɔng, i kin dipen pan aw yu kin ansa. Ivin if yu gɛt di ful doz ɛn yu nɔ gɛt ɛni riakshɔn, yu dɔktɔ kin de wach yu fɔ lɛk tu awa so afta dat.

Wetin kin apin afta di tɛst?

If yu dɔktɔ kɔnfirm se yu gɛt alɛji, dɛn go advays yu bɔt aw fɔ avɔyd da it de. Dɛn go gi yu mɛrɛsin bak, lɛk wan epinephrine ɔto-injɛkta (lɛk wan EpiPen®). If yu nɔ gɛt alɛji fɔ da it de, yu kin ad da it de bak to di it we yu kin it ɔltɛm. Jɛnɛral wan, afta yu dɔn pas wan tɛst fɔ chalenj fɔ it, i nɔ kin izi fɔ mek yu gɛt riakshɔn to da it de bak.

Dis ``Oral Food Challenge'' sef?

Sɔm bad tin dɛn de we kin apin to dis tɛst. Na dat mek dɛn kin du am ɔnda di sɔpɔtishɔn fɔ dɔktɔ, na dɛn ɔfis ɔ na ɔspitul. Bɔrku pipul kin gɛt smɔl smɔl tin dɛm lɛk wae dɛn kin gɛt rash na dɛn skin ɛn it. Yu dɔktɔ kin gi yu mɛrɛsin fɔ ɛp fɔ pul dɛn sik ya.

Sɔm bad bad tin dɛn nɔ kin apin , bɔt if dɛn apin, yu dɔktɔ go rɛdi fɔ gi yu di mɛrɛsin we yu nid. Siriɔs risk dɛm fɔ Oral Food Challenge kin inklud fɔ gɛt prɔblɛm fɔ blo ɔ anafylaxis (wan bad bad alɛji we kin mek pɔsin in layf de pan denja) .

Wetin na di bɛnifit dɛn we dis tɛst de gi?

Di bɛnifit dɛn we dis tɛst gɛt na dat i de mek yu ebul fɔ it bɔku bɔku it dɛn ɛn i de mek yu no fɔ tru if wan patikyula it rili de mek yu gɛt alɛji. If yu no if yu gɛt alɛji, dat kin ɛp yu fɔ mek yu nɔ gɛt alɛji tumara bambay.

Wetin di tɛst rizɔlt dɛn se?

Di rizɔlt fɔ wan Ɔral Fɔd Chalenj Tɛst dɛn kin no ɔlmost wantɛm wantɛm . Dɔktɔ dɛn kin kɔl di rizɔlt dɛn as "Tolerated" ɔ "Reacted."

• `Tolerated`: Dis min se yu nɔ bin gɛt ɛni alɛji fɔ di it, so di it sef fɔ it.
• `Reacted`: Dis min se alerjik riakshכn bin apin di tεm we dεn de tεst.

Sɔntɛnde yu kin gɛt ``Inconclusive result.'' If dat apin, yu dɔktɔ kin se yu fɔ avɔyd da it de fɔ de na di say we sef.

Lɛ wi lan bak bɔt di ``Food Sensitivity Test'' we dɛn kin du na os.

Tu kayn tɛst de: wan tɛst fɔ it chalenj we yu dɔktɔ de du ɛn wan tɛst fɔ no if yu gɛt tin fɔ it we yu kin du na os. Bɔku pan dɛn tɛst ya we dɛn kin du na os na di makit , di Food & Drug Administration (FDA) nɔ gri fɔ dɛn ɛn dɛn nɔ gɛt ɛni klinik valyu. Dis min se dɛn tɛst ya, we yu kin bay na di intanɛt ɔ na famasi, nɔto fɔ tek ples fɔ di diagnosis we dɔktɔ dɔn mek.

Di ``Gold Standard`` fɔ no if yu gɛt alɛji fɔ it na di ``Oral Food Challenge Test``. Dis min se yu fɔ it sɔntin we yu tink se yu nɔ gɛt alɛji to bay wilful.I kin mek yu fred fɔ tɛl yu se yu fɔ it. Bɔt mɛmba se yu dɔktɔ go de wit yu ɔl di tɛm we dɛn de du di ɛgzam. Tɔk to yu dɔktɔ bɔt ɛnitin we yu de fred ɔ wɔri bɔt. Nɔ fred fɔ aks kwɛstyɔn, lɛk wetin kin apin we ɛnitin apin we nɔ izi fɔ yu.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

So, dis `(Food Challenge Test)` na wan rili impɔtant ɛn rilibul tɛst we kin no kɔrɛkt wan if yu gɛt alɛji fɔ it ɔ nɔ gɛt alɛji fɔ it. Dis fɔ rili bi ɔnda dɔktɔ in sɔpɔtishɔn, na ples we gɛt di rayt mɛdikal fasiliti. Dis go ɛp yu fɔ lɛf fɔ fred sɔm it dɛn ɛn ajɔst di tin dɛn we yu de it. If yu want fɔ no bak bɔt dis kayn tɛst, nɔ fɔgɛt fɔ tɔk to yu dɔktɔ.

` Fɔd alɛji, it chalenj tɛst, alɛji tɛst, it alɛji, IgE alɛji, mɛdikal tɛst, wɛlbɔdi advays